Gültzow Thomas, Hoving Ciska, Smit Eline Suzanne, Bekker Hilary L
Care and Public Health Research Institute (CAPHRI), Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Care and Public Health Research Institute (CAPHRI), Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Patient Educ Couns. 2021 Dec;104(12):3104-3108. doi: 10.1016/j.pec.2021.04.007. Epub 2021 Apr 15.
People make numerous health-related choices each day: For example, deciding to brush one's teeth or to eat well and healthy - or not to do these activities. To support complex decisions and subsequent behaviour change, both Behaviour Change Interventions (BCIs) and Patient Decision Aids (PtDAs) have been developed and evolved independently to support people in health-related decision making. In this paper, we critically review BCIs and PtDAs, examine their similarities and differences, and identify potential for integration of expertise to increase the benefits for people engaging with healthcare and health behaviours. The two approaches appear to mainly differ in terms of their (1) goals and foci, (2) theoretical basis, (3) development frameworks, (4) active ingredients and (5) effect evaluation. To facilitate the integration of scientific insights from these two fields, we recommend to (1) bring both fields together and promote interprofessional discussions, (2) train (health) professionals to recognise strengths of both approaches, (3) investigate the synergy of the two fields, (4) be prepared for and try to mitigate a culture shock when the fields start to interact. Knowledge generated by researching PtDAs could be used to facilitate decisional processes that enable patients to choose goals that are in line with their values and preferences, while insights from researching BCIs could be used to facilitate engagement with, and implementation of those goals. This integration could allow researchers and intervention providers to increase the benefits for people engaging with healthcare and health behaviours.
例如，决定刷牙、选择健康饮食——或者不做这些事情。为了支持复杂的决策以及后续的行为改变，行为改变干预措施（BCIs）和患者决策辅助工具（PtDAs）都已得到开发并独立发展，以帮助人们进行与健康相关的决策。在本文中，我们对行为改变干预措施和患者决策辅助工具进行了批判性回顾，研究了它们的异同，并确定了整合专业知识的潜力，以增加参与医疗保健和健康行为的人们所获得的益处。这两种方法在以下方面似乎存在主要差异：（1）目标和重点；（2）理论基础；（3）开发框架；（4）有效成分；（5）效果评估。为了促进这两个领域科学见解的整合，我们建议：（1）将这两个领域结合起来，促进跨专业讨论；（2）培训（健康）专业人员认识到这两种方法的优势；（3）研究这两个领域的协同作用；（4）当这两个领域开始相互作用时，做好应对并尽量减轻文化冲击的准备。研究患者决策辅助工具所产生的知识可用于促进决策过程，使患者能够选择符合其价值观和偏好的目标，而研究行为改变干预措施所获得的见解可用于促进对这些目标的参与和实施。这种整合可以使研究人员和干预提供者为参与医疗保健和健康行为的人们增加益处。
